health program application medical assisting career

School of Health, Education and Human Services

Health Program Application

Medical Assisting Career Certificate

Choose One:

Deerwood Center Day Program

9911 Old Baymeadows Road Jacksonville, FL 32256

OR

Nassau Center Day Program

76346 William Burgess Boulevard Yulee, FL 32097

Personal Information:

Please

Print

Student Name:

Last Four of Social Security #: __________

EMPL # (number on back of student ID)_______________

Street Address:

City, State, Zip

FSCJ Email ___________________________________________________________

Home Phone: ______________________ Cell Phone: _________________________

Birthdate: ____________________

Sex: MALE ( ) FEMALE ( ) RACE: BLACK ( )

AMERICAN INDIAN ( )

ALASKAN NATIVE ( )

WHITE (NOT HISPANIC ORIGIN) ( )

ASIAN OR PACIFIC ISLANDER ( )

HISPANIC ( )

Certification:

1, certify that all information given in this

application is true and accurate to the best of my knowledge. I understand that if I

have falsified any information, I am subject to immediate dismissal from the School

of Health and Human Services program for which I am selected. I understand that

all correspondence regarding the program will be sent to my Florida State

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College at Jacksonville email account. All applicants will be notified of their

status 2 to 3 weeks after deadline date.

Signature: Date

Career Certificate Medical Assisting (WC) Rev 6/19 Participation in any health science

program requires a medical history and physical examination, including a record of

immunizations. For programs that have clinical training components, students must

complete a background check and drug screening. Student’s selected for admission

into a program will be provided with the necessary health and screening forms.

Students who are unable to complete the clinical requirements after acceptance into

selective access programs are not eligible for refunds of tuition and fees.

CORE PERFORMANCE STANDARDS

Medical Assisting students shall be in reasonably good health and any disability

should allow the student to administer safe Medical Assisting care.

The following is a list of essential functions that a student must be capable of

performing while a student in the Medical Assisting program at Florida State College

at Jacksonville.

Specialized Motor Skills and Mobility: Gross and fine motor abilities sufficient to

provide safe and adequate performance of clinical procedures.

• Demonstrate physical abilities sufficient to move from room to room

• Manipulate equipment by pushing/pulling weight up to 300 lbs. and

lifting a minimum of 40 lbs.

• Lift, move and position patients

• Ability to Multitask

• Walk long distances (up to approximately 3 miles per day)

• Stand for prolonged periods of time

• Sit for prolonged periods of time

• Calibrate, use and manipulate instrumentation; grasp, hold, grip, turn

with hands

• Ability to maneuver in small spaces

• Possess manual dexterity to safely grasp and manipulate small objects

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Sensory: Sufficient use of the senses of vision, hearing, touch and smell to observe,

assess and evaluate close to and at a distance in the classroom and clinical setting

• Differentiate color difference and shades of gray.

• Hear auditory signals from monitors, cameras and beepers.

• Hear emergency signals, auscultatory sounds and patient verbalizing needs.

• Hear and differentiate sounds.

• Perform visual assessment and observe patients' responses.

• Observe client responses at a distance and close at hand.

• Distinguish colors.

• Hear cries for help and respond in a timely manner.

• Feel vibrations (feel pulses).

• Detect temperature (skin, solution).

• Feel differences in surface characteristics (skin turgor, rashes).

• Feel differences in sizes, shapes (palpate vein, identify body landmarks).

• Detect environmental temperature (check for drafts).

Smell: Sufficient use of senses.

• Detect odors from client (foul smelling drainage, alcohol breath, etc.).

• Detect smoke.

• Detect gases or noxious smells.

Critical Thinking: Critical thinking ability sufficient for clinical judgment, ability to

acquire, assimilate, integrate, apply and evaluate information and problem solve.

• Understand and interpret written and verbal orders

• Respond promptly to emergency situations

• Concentrate and focus attention for long periods of time

• Identify cause and effect relationships in clinical situations

• Make accurate decisions independently

Interpersonal: Interpersonal ability sufficient to communicate and interact with

individuals, families and groups from a variety of backgrounds including social,

emotional, cultural, economic and intellectual.

• Establish rapport with patients, clients, colleagues and other health

care personnel

• Demonstrate patience, empathy and concern for others

• Display a calm manner in fearful or hostile situations

Emotional Stability:

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• Establish therapeutic boundaries

• Provide client with emotional support

• Adapt to changing environment/stress

• Deal with the unexpected (patient going into crisis)

• Focus attention on task

• Monitor own emotions

• Perform multiple responsibilities concurrently

• Handle strong emotions (grief, anger)

• Use good judgment when providing patient care

• Maintain self-control

Communication Skills in English:

Communication abilities sufficient for interaction with others in verbal and written

form.

• Communicate needs in a prompt, clear and concise manner; accurately

document findings both written and oral; communicate information accurately

and effectively to physician or nurse

• Evaluate written and verbal orders, patient care plans and treatment requests

• Interact with others (health care workers)

• Speak on the telephone

• Influence people

• Direct activities of others

• Teach (client/family about health care)

• Maintain appropriate communication with faculty and staff/agency (status of

patients)

• Explain procedures

• Give oral reports (report on client's condition to others)

Reading and Writing in English:

Communication abilities sufficient for safe interpretation on.

• Read and understand written documents (policies, protocols)

• Write notes in documents and clinical records

Behavior: Sufficiency of motivation, responsibility, and flexibility to function in new,

ever changing and stressful environments and adapt appropriately to diverse client

needs.

• Maintain patient confidentiality

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• Show accountability for actions

• Adapt to assignment of patient, clinical site or laboratory such that

meets objectives while providing safe, adequate patient care

• Individuals who choose the Medical Assisting profession require the

capabilities outlined regarding core performance standards

By signing this page, I understand that I have read and am attesting that I am capable

of performing the duties as set forth by the Core Performance Standards.

Signature:_____________________________________ Date:_________________

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School of Health, Education and Human Services

Health Program Application

Florida State College at Jacksonville

Thank you for your interest in the Medical Assisting program at Florida State College

at Jacksonville. Please read the instructions carefully and complete the application in

its entirety. The application deadline for admission into program is as follows: Fall

Term June 15

How to apply to the College

You must be a student of the college before applying to the program. Be sure to

follow the instructions below:

1. Go to www.fsçj.edu

2. Click on "Apply" button

3. Click on "Create a new application"

4. Complete the form to create an account

5. Complete a Workforce Training Application (Career Certificate)

6. There is a $25 fee for each type of admission application submitted to the

college (No fee for program applications)

7. If you graduated from a public high school in Duval County (after June 1989),

St. Johns County (after June 1993) or Clay County (after June 1992) county,

the College will request an official transcript after we receive your

application. If our request is not honored by the high school, students will be

notified by mail to request their own official transcript. If you graduated from

a public or private high school outside of Duval, St. Johns or Clay counties,

please have your high school send an official transcript indicating your

graduation date to: You must submit one of the following to Student

Records for review to [email protected].

• An official (unopened) High School transcript (No diplomas) or

• Copy of GED scores (does not need to be official) or

• College transcript (a minimum of 12 college credits must have been completed

if using college GPA). Note: Florida State College at Jacksonville transcripts can

be unofficial. Transcripts from outside colleges must be official (unopened).

Note: Official transcripts from outside colleges must be sent to the address provided on

the web site for evaluation and transfer to FSCJ transcripts before applying to the

program. If you have attended any other college or university, please request each

school to forward your official transcript to the student records department. All

post-secondary transcripts must be received and evaluated before a student can

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attend college credit orientation through FSCJ Smart Start. All transcripts must

be received and evaluated to be approved for financial aid.

8. Apply for Residency

9. Complete College Assessment TABE test or TABE Waiver

10. Apply for Financial Aid and Scholarships

11. Schedule orientation through FSCJ Smart Start

How to Apply to the Program

Include the following with the Health Program Application:

1. BLS Provider CPR card (American Heart Association ONLY)

2. TABE Test Scores or exemption (waiver)

3. Signed Core Standards form

4. You must submit one of the following:

(Optional) An applicant to the Career Certificate Medical Assisting program who

has work experience as a CNA, Home Health Aide, PCA, PCT, and Medical

Corpsman may receive 0.25 points per year of experience up to a maximum of four

years towards their ranking. This work experience must be within the last 5 years,

must be documented on employer's letterhead w/employer's signature including

beginning and ending dates of employment, position, title, and a brief description

of job duties required

Submit Medical Assisting Program Application by one of the following methods:

Email all documents to Dr. Karen Kelley at [email protected] (Preferred Method) or mail

or drop off to the address below:

FSCJ Deerwood Center

9911 Old Baymeadows

Road

Jacksonville, FL 32256

ATTN: Dr. Karen Kelley

Office #B2232

Equal Access/Equal Opportunity

Florida State College at Jacksonville, hereby reaffirms the principle of equal

opportunity for all persons regardless of race, disability, color, ethnicity, national

origin, religion, gender, age, sex, sexual orientation/expression, marital status,

veteran status, pregnancy or genetic information. Equal opportunity principle

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applies with regard to employment, delivery of educational programs and services,

and all other appropriate areas in which the College is involved. The College is

committed to ensuring that all persons are not subject to discrimination. Any

student, employee or applicant who believes they have experienced discrimination

or harassment, including workplace or classroom harassment, discrimination in

hiring or admission practices, or other acts of discrimination or harassment, can

file a complaint through the College's Equity Office or through the Title IX Office.

Anyone who believes they have been subject to discrimination or harassment can

contact the College's Equity Office or the Title IX Office (contact information below).

The College prefers to resolve any complaint in a timely manner, so early

notification is critical. You may file an internal complaint by submitting the to

the Equity Office. Although you are encouraged to attempt to resolve your concern

with College personnel, you have the right to file your complaint with U.S. Equal

Employment 042porlunity Commission (EEOC) or with the U.S. Department of

Education's Office of Civil Rights.

Equity Office

Kyle Jones

Employee Relations and Equity Coordinator

501 W. State Street


(904) 632-3221 (confidential)

(904) 632-3290

Title IX Office

Dr. Alvin Brennan

Coordinator of Title IX

601 W. State Street


(904) 361-6204

Lisa Moore

Chief Diversity, Equity and Inclusion Officer/Executive

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Director, Employee Relations

501 W. State Street


(904) 632-3221 (confidential)

(904) 632-3326

GENERAL PROFESSIONAL INFORMATION

Industry Information: Medical assistants complete administrative and clinical tasks in

the offices of physicians, hospitals, and other healthcare facilities. Their duties vary

with the location, specialty, and size of the practice. Employment of medical

assistants is projected to grow 25 percent from 2014 to 2024, much faster than the

average for all occupations.

Program Information:

• The Medical Assisting program is a ten (10) month limited access program.

• The hours for the program are Monday-Thursday 8:00 to 3:00 and Friday’s

8:00 to 12:00.

• This program prepares students for a career in the multi-skilled field of

medical assisting, which includes instruction in the performance of basic

clerical/medical office duties and clinical skills. The program is designed to

prepare students to assist in all aspects of basic healthcare delivery under

the supervision of a physician, assist with client care management, execute

administrative and clinical procedures, communicate effectively, adhere to

ethical and legal standards, and recognize and respond to client needs.

Clinical experiences will be provided in physicians' offices, ambulatory care

centers, clinics, and hospital outpatient clinics.

• Our Career Certificate Medical Assisting (W.C.) will prepare you to do

everything as a medical assistant from maintaining medical records, filing

insurance claims and billing to taking medical histories, vital signs and

assisting with exams. You will gain practical experience for a medical

assisting job in local hospitals, doctor's offices and clinics. You will be

prepared to become a registered medical assistant.

• "Priority will be given to qualified applicants (Florida Residents) living in the

program service district, which includes Duval and Nassau counties."

• This program is designed to prepare students for employment as

competent, confident entry-level Medical Assistant in a non-discriminatory

and supportive learning environment.

Rotations/Practicum: Clinical externships (practicum) are scheduled in various

healthcare settings and are a required part of your program of study to assist you in

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obtaining hands-on experience in your chosen discipline while learning in your

student role.

Jobs: Medical Assistant's work in physicians' offices, hospitals, outpatient clinics, and

other healthcare facilities. For current salary information please refer to the United

States Department of Labor — Bureau of Labor Statistics, http://www.bls.gov/. Upon

completion of coursework, Florida State College at Jacksonville does not guarantee

employment or salary in a given field of study. Any jobs mentioned are given as

examples of potential employment.

Medical Assisting Program Course Requirements

Vocational Preparatory Instruction (VPI):

Students who have satisfactory test scores are not required to take the following

courses:

• VPI 01 OO-Basic Reading Skills

• VPI 0200-Basic Mathematic Skills

• VPI 0300-Basic Language Skills

Curriculum

Professional Courses:

A minimum grade of "C" or better is required in all Professional Core courses.

1. HSC 0003 -Basic Healthcare Worker — 90 clock hours

2. MEA 0002 -Introduction to Medical Assisting — 250 clock hours

3. MEA 0501 — Medical Office Procedures — 75 clock hours

4. MEA 0521 — Phlebotomist — 75 clock hours

5. MEA 0543 — EKG Aide — 75 clock hours

6. MEA 0581 — Clinical Assisting — 230 clock hours

7. MEA 0530 -Pharmacology for Medical Assisting — 90 clock hours,

8. MEA 0573 — Laboratory Procedures — 125 clock hours

9. MEA 0506 — Administrative Office Procedures — 90 clock hours

10. MEA 0942 -Practicum Experience — 200 clock hours.

Total Contact Hours: 1,300

Course Sequence

All Medical Assisting courses must be taken in sequence. Each course must be passed

to move to the next course. Students must achieve a "C" average in all the Medical

Assisting courses prior to graduation from the program. No Medical Assisting course

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may be taken more than twice including or excluding the original enrollment. The

Program Manager must approve any withdrawals or re-enrollments.

APPLICATION AND ADMISSION PROCESS:

Students are accepted into this program every year beginning in the fall (August)

term only. Applications are accepted through June 15th. The preferred method is

electronically. If mailed, must be postmarked no later than June 15 when received.

Application is a two-step process. You must first make general (Vocational)

application to Florida State College at Jacksonville. This can be done at any Florida

State College at Jacksonville campus or online, and there will be a one-time $25 fee.

After applying to Florida State College at Jacksonville, you may then apply specifically

to the Career Certificate Medical Assisting program. This limited access program is

open to applicants regardless of race, religious affiliation, or gender. Applicants must

meet the Florida State College at Jacksonville admissions eligibility requirements in

order to be considered for admission.

All applicants should contact an Advisor for questions on admissions requirements.

ADMISSION CRITERIA

The following are minimum requirements for admission to the Medical Assisting

Program:

• Acceptance to Florida State College at Jacksonville as a Vocational student

with all required admission documents received by the Registrar and Student

Records.

• Be at least 17 years of age.

• Have earned a high school or GED diploma.

• Completion of and submission of Test of Adult Basic Education (TABE)-

Students may apply with any TABE score, however, if accepted into the

program, must meet or exceed the Florida Department of Education's

Minimum TABE scores in Reading (10.0), Math (l0.0), and Language (10.0) to

be eligible to graduate from the Medical Assisting program. There is no

charge for taking the TABE. Contact any FSCJ Assessment Center to

request a TABE Waiver if qualified.

ADDITIONAL PROGRAM REQUIREMENTS

These additional admission requirements are to be completed after provisional

acceptance into the program:

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1. Health physical

2. Documentation of required Titers/Immunizations

3. Drug screening

4. Florida Department of Law Enforcement (FDLE) background check

5. Basic Cardiac Life Support through an approved American Heart

Association only.

The Program Manager will provide information regarding the completion of these

additional admission requirements with the letter of acceptance to each student

prior to beginning of class.

PROCESS FOR SELECTION OF QUALIFIED APPLICANTS

Admission to the professional phase of the Medical Assisting program is on a

selective basis. Students who have met the criteria outlined in the Application

Process and who submit completed applications by the deadline with all required

application material will be awarded points based on GPA, previous degree, TABE

scores/waiver, health related work experience, and CPR card. The 24 highest-

ranked students will be offered a seat in the Career Certificate Medical Assisting

program, and will be notified by FSCJ student email after all applications have been

reviewed. In the event of forfeiture, the next highest-ranked student may be

notified of acceptance.

RANKING AND SELECTION PROCESS

All applicants meeting the admission criteria will be ranked in descending order

utilizing a point system described on the sample point system form found in this

information/application packet. Students will be selected from this ranked list until

all available seats are filled.

Students selected for a seat will have a specified time to notify the program that

they are accepting the seat. Failure to notify the Instructional Program Manager as

indicated will result in forfeiture of the seat. The next eligible applicant on the

ranked list will be offered the seat.

This process is repeated for each new group of applicants. The program does not

maintain or carry-over a waiting list once all available seats are filled.

CRITERIA FOR ADMISSION

Applicants are ranked for admission on a point scale of 5 to 10 with 10 being the

highest and 5 being the lowest. Overall rank is determined by averaging the TABE

and the rank from either the GPA or GED score. It is suggested that applicants

submit the criteria which, when averaged, will give them the highest rank.

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Applicants must submit proof of selected criteria with their application. Credit will

be given for related work experience in the health field as follows: 0.25 points per

full year up to four (4) years (point value added to overall rank). Former employers

on employer stationary with signature must document this related work

experience. Work experience needs to be within the last 5 years. Beginning and

ending employment dates must be included along with a brief description of

responsibilities. It is the applicants ' responsibility to submit acceptable

proofofcriteria with their application during the appropriate application period.

Applications cannot be ranked without the required qualifying criteria.

Ranking Chart

Test of Adult Basic

Education

GPA/Rank GED scores=Rank

12.7-12.9 -10.0 4.0=10 0 2.9=7 25 72.6- + 10.0

12.3-12 6 3.9=9.75 2.8=7 0 70.1- 72.5 =9.5

11.9-12 2 3.8=9.5 2.7=6.75 67.6- 70 0

11.5-11.8 3.7=9.25 2.6=6.5 65.1- 67.5 =8.5

11.1-11.4 =8.0 3.6=9.0 2.5=6 25 62.6- 65.0 -8.0

10.7-11.0 =7.5 3.5=8.75 2.4=6 0 60.1- 62.5 =7.5

10.3-10.6 =7.o 3.4=8.5 2.3=5 75 57.6- 60.0= 7.0

9.9-10.2 -6.5 3.3=8.25 2.2=5 5 55.1- 57.5= 6.5

9.5-9.8 3.2=8.0 2.1=5.25 52.6- 55.0= 6 0

3.1=7 75 2.0=5 0 50.1- 52.5= 5.5

9.0 -5.0 3.0=7 5 Pass- 50.0= 5.0

TABE exempt score=12.9 Note: GPA's are not

rounded up

i.e. 3.46=3.4, No GPA on

transcript is automatic

2.0

GED calculations only

use first 3 digits of total

score, i.e.

2660=266/5=53.2 not

rounded

Reading___(Total) Math___Lang___=___/3=___=Rank___and GPA___=Rank___or GED

Total___/5=Rank

TABE Rank___+GPA or GED Rank___=___/2= Overall Rank___+ Work Experience___= Overall

Rank___

Applicants with qualifying documented Work experience receive .25 for each full year up to

4 yrs added to overall rank.

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TUITION

Workforce Certificate Tuition and Fees

Course No Description Contact

Hours

Cost

HSC0003 Basic Healthcare Worker 90

Tuition (In State Residence) $260.10

Tuition (Eligible GA residence) $525.96

Tuition (Out of State residence) $1,051.92

MEA0002 Introduction to Medical Assisting 250


Tuition (Eligible GA residence) $1,461.00


MEA0501 Medical Office Procedures 75



Tuition (Out of State residence) $876.60

MEA0521 Phlebotomist 75




MEA0543 EKG Aide 75




MEA0581 Clinical Assisting 230


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Tuition (Eligible GA residence) $ I ,

344.12


MEA0530 Pharmacology for Medical

Assisting

90




MEA0573 Laboratory Procedures 125




MEA0506 Administrative Office Procedures 90




MEA0942 Practicum Experience 200


Tuition (Eligible GA residence) $1,168.80


TOTAL IN STATE TUITION (1,300 Clock Hours) $3,787.90

TOTAL ELIGIBLE GA TUITION (1,300 Clock

Hours)

$7,597.20

TOTAL OUT OF STATE TUITION (1,300 Clock

Hours)

$15,194.40

OTHER EXPENSES (Fees and other expenses are subject to change without notice.)

Background check (est) $100.00

College application fee $25.00

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Drug Screening (est) $26.00

Name Tag $7.00

Picture ID $15.00

Physical exam/Vaccines (est. cost) $150.00

Textbooks (est. costs) $600.00

Uniforms and shoes (est. costs) $125.00

Watch (with second hand) $30.00

Miscellaneous $120.00

TOTAL ESTIMATED COSTS $1,198.00

TOTAL IN STATE TUITION & ESTIMATED COSTS $5,037.00 TOTAL OUT

OF STATE TUITION & ESTIMATED COSTS $13,304.50

FINANCIAL AID

Florida State College at Jacksonville offers many types of financial assistance to

students who would otherwise be unable to further their education without such

support. Depending on the type of aid, eligibility is based on one or more of the

following criteria: financial need of the individual (in the case of dependent

students, family need is used), educational costs, academic achievement and

availability of funds. Inquiries regarding financial aid should be directed to the

enrollment services/financial aid office on the student's home campus. A student's

home campus is his/her point of contact for academic advising, financial aid

advising and disbursement of funds.

Florida State College at Jacksonville's Federal School Code is 001484.

Remember, it is your responsibility to...

• Apply early for financial aid assistance; do not wait for acceptance into the

program before beginning this process.

• Complete a FAFSA (Free Application for Federal Student Aid) each year;

(FAFSAs for the upcoming fall term are available in September of the

previous year).

• Submit all required forms and documentation to Florida State College at

Jacksonville.

• Use financial aid for educationally related expenses only.

• The entire process takes a minimum of 6 weeks to complete.

Assessment and Certification Center Information about TABE

What is the TABE assessment?

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TABE stands for Tests of Adult Basic Education. The TABE assessment is an

academic assessment that measures a person's grade level in reading,

mathematics, and language. A Preparing for the TABE (PDF) brochure is provided

by the State of Florida for students and educators.

Who has to take the TABE assessment?

All persons entering Florida State College at Jacksonville's adult education or

workforce certificate programs are required to take the TABE. Waiver

opportunities (PDF) are available for students entering the workforce credit

certificate programs.

When do I take the TABE assessment?

It depends upon the program you are entering. Persons desiring to enter Florida

State College at Jacksonville's adult education program should contact the nearest

campus adult education program to arrange for the TABE assessment. Persons

entering workforce credit certificate programs may schedule an appointment to

take the TABE for the first time by contacting the nearest assessment and

certification center.

Is there a fee for the TABE?

There is no fee for the TABE assessment for those persons entering a Florida State

College at Jacksonville adult education or workforce credit certificate program.

I need to take the TABE assessment for another school or agency. Is there a

fee?

Yes. There is a $68 fee for the assessment. Please call the campus assessment and

certification center nearest you for additional information. Nonstudents are

required to follow the same state retesting guidelines as Florida State College at

Jacksonville students.

How are the TABE assessment scores used?

TABE scores of adult education students are used to place them into an academic

course that closely matches their current academic level. Upon completion of their

coursework, many adult education students are then required to complete a post-

test successfully.

Workforce Career Certificate program students must meet the minimum academic

TABE scores for their program prior to program completion.

Who sets the TABE scores for the adult education and workforce certificate

programs?

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The State of Florida with guidance from the federal government sets the TABE

requirements for each adult education program and course. The State of Florida

sets the TABE requirement of each workforce credit certificate program.

Can I retake the TABE assessment?

You may retest after (a) three months or (b) upon completion of 50 hours of

documented instruction at a Florida State College at Jacksonville review class.

How do I prepare for the TABE assessment?

There are several opportunities to assist you in preparing for the TABE test:

l. Go to the "Practice TABE Test" as an excellent way to prepare the real test.

Answers with explanations are provided at the end of the test.

2. If you want more thorough practice materials, McGraw Hill has published

an excellent test preparation book, "TABE: Test of Adult Basic Education;

The First Step to Lifelong Success (Level A)." The book is on reserve in

campus libraries and is for sale in the campus bookstore or at private

bookstores.

3. Review the materials pre and post materials on the Florida Department of

Education website.

4. A brief list of skills measured by the TABE is available on the

When will I get my TABE assessment results?

Adult education student scores are distributed at new student orientation or sent

to the referring instructor. All other persons are given their score reports.

How do I get another copy of my scores?

There is a $5.00 fee for students and $10.00 fee for nonstudents to obtain a

duplicate copy of TABE scores. Contact any assessment and certification center to

make arrangements for a duplicate copy of your scores.

How long are my TABE scores good for?

Your TABE scores are good for two years at Florida State College at Jacksonville.

Make an appointment to take the TABE test by going to www.fsci.edu, click on the

"Admissions and Aid", then "Assessment and Certification". Next click on the "Make

a Testing Appointment" blue button. The TABE test is available at all Florida State

College at Jacksonville campuses.

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TABE WAIVER TO EXEMPT EXAM

If you are a student with a degree or have completed ENCI 101 and/or MATI 033

with a grade of "C" or better, or have graduated from a Florida high school since

2007, you may be eligible for an exemption for the TABE Test. Please follow these

steps:

To receive TABE Waiver form, take your official transcript, if other than Florida State

College at Jacksonville, to the Admissions Office at any Florida State College at

Jacksonville Campus. After receipt of Waiver form, take form to the Assessment

Center at any campus to have exemption entered into the system (you must have a

current Florida State College at Jacksonville application on file). You will receive an

Exemption printout. Please attach TABE Exemption/Waiver form from the

Assessment Center to your application to apply to the program.

RECORD OF CONVICTION OF A CRIME

Clinical agencies which Florida State College at Jacksonville utilizes for Medical

Assisting program clinical education have the right to not accept a student for

clinical externships based on the student's background check and the clinical

facilities policies and procedures for clinical education.

Effective July 1, 2009, pursuant to Section 456.0635, Florida Statutes, health care

review boards shall refuse to renew a license, certificate or registration, issue a

license, certificate or registration and shall refuse to admit a candidate for

examination if the applicant has been convicted or plead guilty or nolo contendre,

regardless of adjudication, to a felony violation of: chapters 409, 817, or 893,

Florida Statutes; or 21 U.S.C. ss. 801-970 or 42 U.S.C. ss. 1395-1396, unless the

sentence and any probation or pleas ended more than 15 years prior to the

application, terminated for cause from Florida Medicaid Program (unless the

applicant has been in good standing for the most recent 5 years) or terminated for

cause by any other State Medicaid Program or the Medicare Program (unless the

termination was at least 20 years prior to the date of the application and the

applicant has been in good standing with the program for the most recent 5 years).

The Florida nursing or allied health licensure or certification application requires

disclosure of any criminal history and the disposition of all cases prior to board

review. Being convicted of, or having entered a plea of guilty or nolo contendre to,

any of the listed felonies in Florida Statute 456.0635 or termination for cause from

the statutorily-described Medicaid programs will preclude an applicant from

21

obtaining a nursing or allied health license or certification in the state of Florida.

Entry and acceptance into the nursing or allied health program does not guarantee

licensure or certification in the State of Florida.

I have read the foregoing statements and I understand that any false statements or

information purposefully omitted will be sufficient cause for dismissal from the

nursing/nursing related/Allied Health program, if accepted. I also understand that if

I am unable to be placed in a clinical agency I will be notified by the Program

Manager and will be unable to continue in the program. I also understand that I

may not receive a refund if I am unable to be placed due to my background or

drug screen results.

Signature________________________ Date___________________________

Florida State College at Jacksonville is accredited by the Southern Association of

Colleges and Schools Commission on Colleges (SACSCOC) to award associate and

baccalaureate degrees. Questions about the accreditation of Florida State College

at Jacksonville may be directed in writing to the Southern Association of Colleges

and Schools Commission on Colleges at 1866 Southern Lane, Decatur, GA 30033-

4097, by calling (404) 679-4500, or by using information available on SACSCOC’s

website (www.sacscoc.org).

health program application medical assisting career

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